Giant City Stables LLC
Organization Active NPI Recreation Therapist · Makanda, IL
NPI 1932932498 · NPPES record last updated Aug 21, 2024
Key facts
- NPI
- 1932932498
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Recreation Therapist 225800000X
- Legal business name
- GIANT CITY STABLES LLC
- Practice address
- 722 Giant City Rd
Makanda, IL 62958-3200 - Phone
- (618) 529-4110
- NPI assigned
- Aug 21, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Ramona Lynn Twellman, CTRI
- Title
- Owner / MBR
- Phone
- (618) 529-4110
Practitioners 2
-
Berit Allen, CTRS
National Provider Directory
Locations
722 Giant City Rd
Makanda, IL 62958
Phone (618) 529-4110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist |
225800000X | Yes |
Addresses
Primary practice location
722 Giant City Rd
Makanda, IL 62958-3200
Mailing address
722 Giant City Rd
Makanda, IL 62958-3200
Phone (618) 529-4110
Other providers in Makanda, IL
- Accessible Environments
- Berit Allen
- Marissa Elizabeth Cooley
- Anne Elizabeth Corbin
- Syhemia Sarah Gray-Cruz
- Living in a Family Environment Management Corporation
- Lindsay Meverden
- Pam Rodely
- John Spencer Phelps
All providers in Makanda, IL · Recreation Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.